How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $288.40 Median $602.56 Typical High $1,288.25 | Facility | None | $288.40 | $602.56 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $302.00 Typical High $1,819.70 | Facility | TC · Technical part | $173.78 | $302.00 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $239.88 | $302.00 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $114.82 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $363.08 | Professional | TC · Technical part | $147.91 | $181.97 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $275.42 | $275.42 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $208.93 | Professional | 26 · Professional part | $87.10 | $97.72 | $208.93 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $691.83 Typical High $1,412.54 | Facility | None | $245.47 | $691.83 | $1,412.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $87.10 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $87.10 | $229.09 | $371.54 |
Baylor Scott & White Setting Facility Modifier None Typical Low $194.98 Median $549.54 Typical High $891.25 | Facility | None | $194.98 | $549.54 | $891.25 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $275.42 | $288.40 | $446.68 |
Christus Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $107.15 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $1,288.25 | Facility | None | $478.63 | $954.99 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $794.33 | Professional | None (both parts) | $239.88 | $398.11 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $194.98 | Professional | 26 · Professional part | $64.57 | $104.71 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $173.78 | $288.40 | $588.84 |
Health Smart Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | None | $426.58 | $426.58 | $446.68 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $346.74 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $346.74 | $416.87 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $4,786.30 | $4,786.30 | $4,786.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 26 · Professional part | $1,698.24 | $1,698.24 | $1,698.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | TC · Technical part | $3,630.78 | $3,630.78 | $3,630.78 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $1,174.90 Typical High $2,238.72 | Facility | None | $407.38 | $1,174.90 | $2,238.72 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $302.00 Typical High $562.34 | Facility | TC · Technical part | $173.78 | $302.00 | $562.34 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $239.88 | $302.00 | $549.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $93.33 | $114.82 | $173.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $389.05 | Professional | TC · Technical part | $147.91 | $181.97 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $263.03 | Professional | None (both parts) | $20.89 | $107.15 | $263.03 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $758.58 Typical High $1,288.25 | Facility | None | $275.42 | $758.58 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $389.05 Typical High $776.25 | Professional | None (both parts) | $239.88 | $389.05 | $776.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $64.57 | $102.33 | $177.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $173.78 | $281.84 | $512.86 |
United Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $363.08 | Facility | None | $263.03 | $275.42 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $338.84 | $446.68 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $120.23 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $245.47 | $331.13 | $602.56 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $100.00 Median $162.18 Typical High $912.01 | Facility | 52 · Reduced service | $100.00 | $162.18 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $64.57 Typical High $363.08 | Facility | 53 · Discontinued | $40.74 | $64.57 | $363.08 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $870.96 | Facility | FX · Film X-ray | $151.36 | $239.88 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $144.54 Typical High $190.55 | Professional | 52 · Reduced service | $120.23 | $144.54 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $75.86 | Professional | 53 · Discontinued | $47.86 | $57.54 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $239.88 Typical High $309.03 | Professional | FX · Film X-ray | $194.98 | $239.88 | $309.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $151.36 Typical High $346.74 | Facility | 52 · Reduced service | $93.33 | $151.36 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $60.26 Typical High $141.25 | Facility | 53 · Discontinued | $37.15 | $60.26 | $141.25 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $933.25 | Facility | FX · Film X-ray | $151.36 | $239.88 | $933.25 |
Moda Health Setting Facility Modifier MH · Imaging: guideline use unknown Typical Low $1,174.90 Median $1,174.90 Typical High $1,202.26 | Facility | MH · Imaging: guideline use unknown | $1,174.90 | $1,174.90 | $1,202.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $144.54 Typical High $190.55 | Professional | 52 · Reduced service | $120.23 | $144.54 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $75.86 | Professional | 53 · Discontinued | $47.86 | $57.54 | $75.86 |
Where Texas sits
The same service costs 6.8 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 50th of 51
$178
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.